WebThe following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of ... When the specific medical necessity criteria noted above for bariatric surgery for an adult have been met, ANY of … WebBariatric surgery is considered NOT MEDICALLY NECESSARY for individuals with a BMI less than 35 kg/m2. BARIATRIC SURGERY IN ADOLESCENTS Bariatric surgery in adolescents may be considered MEDICALLY NECESSARY according to similar weight-based criteria used for adults, but greater consideration should be given to psychosocial …
Cigna Esophagogastroduodenoscopy (EGD) Guidelines V2
Webcriteria noted above, there should be evidence that the individual has maintained a stable weight for at least six months. If the weight loss is the result of bariatric surgery, surgery for excision of redundant skin should not be performed until at least 18 months after bariatric surgery and only when weight has Web11/4/2024 X Cigna 13,760,000 National 10/15/2024 link ... 11/4/2024 Pacific Source 213,000 OR & ID 7/1/2024 link Removed criteria: Authorization for surgery: Documentation of ongoing active participation in a structured, medically-supervised, non- surgical weight loss ... nutrition and diet that should be related to the type planned bariatric ... marilyn blaschke conyers ga
Weight-Loss (Bariatric) Surgery Cigna
WebOct 1, 2024 · Coverage of services is subject to the terms, conditions, limitations of a member’s policy and applicable state and federal law. Please reference the member’s … WebOct 3, 2024 · Cigna Pre-approval Requirements. A Body Mass Index (BMI) of 40 or greater. You must also show that other methods of medically supervised weight loss programs … WebNov 7, 2011 · CIGNA covers bariatric surgery using a covered procedure outlined below as medically necessary when ALL of the following criteria are met: The individual is ≥ 18 years of age or has reached full expected skeletal growth AND has evidence of natural professional hair color